person
Kayla Ann Bourgault
Peer Specialist in Eugene, Oregon
NPI 1285492173

Kayla Ann Bourgault is a Peer Specialist based in Eugene, OR. Kayla Ann Bourgault practices in Eugene, OR. The NPI Number for Kayla Ann Bourgault is 1285492173 and holds a License No. (Oregon).

The current practice location address for Kayla Ann Bourgault is 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR and can be reached out via phone at 541-210-8090 and via fax at 541-210-5310.

Location: 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR, 97403-2279
person
Provider Profile Details
NPI Number
1285492173
Provider Name
Kayla Ann Bourgault
Credential
Provider Entity Type
Individual
Gender
Female
Address
150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR, 97403-2279
Phone Number
541-210-8090
Fax Number
541-210-5310
Provider Enumeration Date
03/06/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
150 Shelton Mcmurphey Blvd Ste 101
City
State
Zip
97401-5015
Phone Number
541-210-8090
Fax Number
541-210-5310
person
Provider Business Mailing Address Details
Address
150 Shelton Mcmurphey Blvd Ste 101
City
State
Zip
97401-5015
Phone Number
541-210-8090
Fax Number
541-210-5310
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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